POSTER ABSTRACTS - ISAKOS

E-poster #106
Endoscopy in Percutaneous Repair of Achilles
Tendon Rupture. Is it a Waste of Time?
Athanasios Fortis, Tripolis, GREECE, Presenter
Anastasios Dimas, Tripolis, GREECE
Georgios Tsitsanis, Tripolis, GREECE
B' Orthopaedic Dept., Panarkadian General
Hospital, Tripolis, GREECE
The aim of the present study is to evaluate if the
endoscope is usefull in treating percutaneously
repaired Achilles tendon ruptures.
MATERIAL AND METHOD Twelve patients 28 to
46 years old suffering from Achilles tendon
rupture were divided in two groups of six patients
each. Two of them had the rupture for over three
weeks time. All the tendons were repaired using
the percutaneous suturing technique. In the first
group the arthroscope was used from the
beginning and the repair was performed under
direct vision, whereas in the second the scope was
used after the end of the suturing. The operating
time, the remaining gap and the number of
additional sutures were evaluated along with the
functional results.
In the first group the average operating time was
45 min and 32 for the second. There was a small
gap in all tendons, but in the second (non
arthroscopy) group this was larger and additional
sutures were used in order to close it. This
resulted to a subsequent elongation of the
operating time.
Postoperatively all the patients were mobilized
with partial to full weight bearing in a below knee
plaster in equinus position. Active and passive
ankle mobilization started 10 to 15 days post
operatively. The patient wore an insole wedge pad
for two months time. The evaluation was
performed using the modified Merkel’s for Load
(Weight) Bearing Capacity and Pain scale.
RESULTS There was no infection or skin healing
problems, but one of the patients in the second
group had a sural neuralgia subsided without any
further treatment. All the patients have had
excellent outcome (700 points).
DISCUSSION Endoscopy in percutaneus Achilles
tendon repair is important in order to achieve the
best results, although a large number of patient is
necessary to fully establish it.
E-poster #107
Plantar Fascitis Treated with Radiofrequency.
Preliminary Results.
Alcivar Hospital, Guayaquil, ECUADOR
Purpose. To determine if the use of
radiofrequency in chronic plantar fascitis in
patients previously treated with other techniques,
is an effective method of treatment.
Type of Study. Prospective, case series.
Methods. Between June 2003 and December 2003
( mean 4.1 month follow up) , 26 Plantar Fascitis
in 22 patients (mean age 38 years old, range 19 to
58; 13 male and 9 female; 17 patients in spots
activities) has been treated with the use of
radiofrequency (Topaz, Arthrocare Corp.). Under
local anesthesia, 1 cm long longitudinal incision
was made in the plantar area, then the
radiofrequency is applied through an electrode;
non weight bearing for 2 week and rehabilitation
program was start immediately. Patients were
analyzed using Patients' subjective assessment
of the procedure, modified Mayo Scoring System (
100-point scale) and Patients activity level.
Results. At last follow up 20 Patients reported no
paint, 1 mild and 1 same as before surgery. Mayo
Scoring average was 96.7 points (68 - 100); 10
Patients returned to previous sport, 3 were still in
rehabilitation and 1 had the same symptoms as
before.
Discussion. If we compare with other techniques
as fasciotomy, we can avoid complication as
lateral column pain, arch cramping or tingling of
the ball of the foot, previously report by others; in
relation with extracorporeal shock wave results
are still unknown because of previous reports.
Conclusion. In spite of the fact that our results do
not have sufficient follow up, we think that it is
not an aggressively technique, and they are
encouraging.
E-poster #108
Arthroscopy Assisted Reduction and Internal
Fixation for Triplane Fracture of the Ankle: A
Case Report
Hideaki Nishi, Izumo, Shimane, JAPAN, Presenter
Masato Takao, Izumo, Shimane, JAPAN
Nobuo Yamagami, Izumo, Shimane, JAPAN
Shinji Imade, Izumo, Shimane, JAPAN
Yuji Uchio, Izumo, Shimane, JAPAN
Izumoshimin Hospital, Izumo, Shimane, JAPAN
[Purpose] To report and investigated the results of
arthroscopy assisted reduction and internal
fixation for triplane fracture of the ankle
[Patients] A fourteen-year-old boy was injured
when he fell down during running with his left foot
into inverted position. Physical examination